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中风患者中医诊断模式规范化的临床方法。

Clinical approach to the standardization of oriental medical diagnostic pattern identification in stroke patients.

机构信息

Department of Cardiovascular & Neurologic Diseases (Stroke Center), College of Oriental Medicine, Kyung-Hee University, Seoul # 130-702, Republic of Korea.

出版信息

Evid Based Complement Alternat Med. 2011;2011. doi: 10.1155/2011/768492. Epub 2010 Sep 19.

Abstract

In Korea, many stroke patients receive oriental medical care, in which pattern-identification plays a major role. Pattern-identification is Oriental Medicine's unique diagnostic system. This study attempted to standardize oriental medical pattern-identification for stroke patients. This was a community-based multicenter study that enrolled stroke patients within 30 days after their ictus. We assessed the patients' general characteristics and symptoms related to pattern-identification. Each patient's pattern was determined when two doctors had the same opinion. To determine which variables affect the pattern-identification, binary logistic regression analysis was used with the backward method. A total of 806 stroke patients were enrolled. Among 480 patients who were identified as having a certain pattern, 100 patients exhibited the Fire Heat Pattern, 210 patients the Phlegm Dampness Pattern, nine patients the Blood Stasis Pattern, 110 patients the Qi Deficiency Pattern, and 51 patients the Yin Deficiency Pattern. After the regression analysis, the predictive logistic equations for the Fire Heat, Phlegm Dampness, Qi Deficiency, and Yin Deficiency patterns were determined. The Blood Stasis Pattern was omitted because the sample size was too small. Predictive logistic equations were suggested for four of the patterns. These criteria would be useful in determining each stroke patient's pattern in clinics. However, further studies with large samples are necessary to validate and confirm these criteria.

摘要

在韩国,许多中风患者接受东方医疗护理,其中模式识别起着重要作用。模式识别是东方医学独特的诊断系统。本研究试图为中风患者标准化东方医学模式识别。这是一项基于社区的多中心研究,在中风后 30 天内招募中风患者。我们评估了患者的一般特征和与模式识别相关的症状。当两位医生意见相同时,确定每位患者的模式。为了确定哪些变量会影响模式识别,我们使用向后法进行二元逻辑回归分析。共纳入 806 例中风患者。在 480 名确定为特定模式的患者中,100 名患者表现为火热型,210 名患者为痰湿性,9 名患者为血瘀型,110 名患者为气虚型,51 名患者为阴虚型。回归分析后,确定了火热型、痰湿性、气虚型和阴虚型的预测逻辑方程。由于样本量太小,省略了血瘀型。建议为四个模式制定预测逻辑方程。这些标准将有助于在临床中确定每个中风患者的模式。然而,需要进一步进行大样本研究来验证和确认这些标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07a/2952328/3abea73441b3/ECAM2011-768492.001.jpg

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